DR. PREMA MODAK MD NPI 1689894578

NPI Information

  • NPI: 1689894578
  • Provider Name: DR. PREMA MODAK, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3998 FAIR RIDGE DR STE 105
    FAIRFAX, VA
    ZIP 22033
  • Phone: (571) 349-2191

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NPI Details

DR. Prema Modak, MD is an ophthalmology in Fairfax, VA with 24 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Prema Modak, MD NPI is 1689894578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:2002

The provider's business location address is:

3998 FAIR RIDGE DR STE 105
FAIRFAX, VA
ZIP 22033-980
Phone: (571) 349-2191

The NPI 1689894578 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Exam of visual field with extended testing (HCPCS:92083)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Imaging of optic nerve (HCPCS:92133)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Photography of the retina (HCPCS:92250)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Imaging of retina (HCPCS:92134)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 4/26/2007 and was last updated on 7/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology0101240540VIRGINIAYes
2207W00000XOphthalmologyD0070139MARYLANDNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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